Mrs Kelly Dahlman Grossman, LPN is a
Licensed Practical Nurse based in Roscoe, New York. Mrs Kelly Dahlman Grossman is licensed to practice in New York (license number 290180-1) and her current practice location is
15 Park Ave, Roscoe, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 498-5335.
NPI number for Mrs Kelly Dahlman Grossman is 1881097749 and her current mailing address is 15 Park Ave, Roscoe, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881097749.
Provider's Profile
Full Name | Mrs Kelly Dahlman Grossman |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 15 Park Ave, Roscoe, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881097749
- Provider Enumeration Date: 10/06/2014
- Last Update Date: 10/06/2014
Medical Identifiers
Medical identifiers for Mrs Kelly Dahlman Grossman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881097749 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 290180-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kelly Dahlman Grossman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kelly Dahlman Grossman, LPN 15 Park Ave, Roscoe, NY 12776-6414 Ph: (607) 498-5335 | Mrs Kelly Dahlman Grossman, LPN 15 Park Ave, Roscoe, NY 12776-6414 Ph: (607) 498-5335 |
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